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Petition for Certiorari Filed in CHAT DSH Litigation

Apr 6, 2020 | DSH, Litigation, News and Updates

On April 6, 2020, a petition for writ of certiorari was filed in the DSH litigation case of Children’s Hospital Association of Texas v. Azar.

Drug Manufacturers File Independent Lawsuits in Response to 340B Advisory Opinion

Jan 30, 2020 | 340B, Litigation, News and Updates

After the Health and Resource Service Administration (HRSA) issued a December Advisory Opinion requiring 340B discounts for drugs dispensed through contract pharmacies, four drug manufacturers—Eli Lilly, AstraZeneca, Sanofi, and Novo Nordisk—have now filed four...

Texas Files Suit Against HHS Seeking Reversal of $25 Million Disallowance

Dec 2, 2019 | Litigation, Medicaid, News and Updates

On December 2, 2019, the Texas Health and Human Services Commission filed suit against HHS seeking reversal of an August 2018 DAB decision that upheld a $25 million disallowance against the state. The complaint, filed in D.C District Court, argues that the standard...

Three Federal District Courts Block DHS Public Charge Rule

Oct 11, 2019 | Litigation, Medicaid, News and Updates

Federal district courts in Washington, New York, and California have blocked the Trump Administration’s public charge rule from going into effect. The Southern District of New York’s ruling applies on a nationwide basis, with the other two rulings limited...

Federal Judge Overturns CMS Site Neutral Policy

Sep 18, 2019 | Litigation, Medicare, News and Updates

On September 18, 2019, the D.C. District Court ruled that CMS exceeded its authority when it extended site-neutral payment to certain services in grandfathered clinics. The policy, issued as part of the November 2018 Outpatient Prospective Payment System (OPPS) Final...

Despite Early Success for Providers, August 2019 Appellate Court Decision Leaves Future Uncertain for Medicaid DSH Third-Party Payer Policy

Sep 13, 2019 | DSH, Litigation, Medicaid, News and Updates

Over the last several years, courts in various jurisdictions have issued rulings in lawsuits challenging the Centers for Medicare & Medicaid Services’ (CMS’) policy requiring the inclusion of Medicare and commercial payments in the calculation of the Medicaid...
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